关键词: help‐seeking behaviour low socioeconomic status maternal health qualitative research

来  源:   DOI:10.1111/jan.16225

Abstract:
OBJECTIVE: To explore the experiences, expectations and needs of mothers from low-socioeconomic status at 1 month postpartum.
METHODS: Descriptive qualitative.
METHODS: Mothers from low-socioeconomic status and irrespective of their parity were invited to participate in one-to-one interviews at 1 month postpartum. Semi-structured interviews were conducted until data saturation. Interviews were audio recorded, transcribed verbatim and analysed thematically. Written informed consent was obtained.
RESULTS: Twenty mothers participated and six themes were identified: (1) No choice but to find meaning; (2) Father as a major pillar of support; (3) \'Kampung\' Spirit; (4) Trials and Tribulations of Transition to Motherhood; (5) Shame, guilt and internalized stigma and (6) Reclaiming the power.
CONCLUSIONS: This study reflected the unique struggles of mothers from low-socioeconomic status with pregnancy, childbirth and early postpartum and the wider health inequities within Singapore\'s maternal health system. To provide much-needed support and improved care, the stakeholders within government, healthcare providers and social organizations should consider the niche needs of this community.
CONCLUSIONS: Nurses need to reflect on their own biases and ensure consistent care delivery regardless of socioeconomic status. When delivering patient education, patient-centred and sincere advice rooted in personal experience can help to establish rapport.
CONCLUSIONS: This study is the first to explore the experiences of mothers from low-socioeconomic status in the Singapore context. Low-socioeconomic status mothers experienced less autonomy over their health, the care they received and their childcare options. As mothers adjusted to their new roles, they struggled to cope. However, as they were wary of the stigma surrounding poverty and their guilt of not being a \'good mother\', they preferred to seek informal support from their family, friends and self-help through learning from social media, as compared to formal, external help.
UNASSIGNED: COREQ checklist.
UNASSIGNED: No patient or public contribution.
摘要:
目的:探索经验,产后1个月来自低社会经济地位的母亲的期望和需求。
方法:描述性定性。
方法:在产后1个月,邀请来自低社会经济地位且不考虑其性别的母亲参加一对一的访谈。进行半结构化访谈,直到数据饱和。采访是录音,逐字转录并进行主题分析。获得书面知情同意书。
结果:20位母亲参加,确定了六个主题:(1)别无选择,只能找到意义;(2)父亲作为主要支柱的支持;(3)“Kampung”精神;(4)过渡到母亲的试验和磨难;(5)羞耻,内疚和内化的耻辱,以及(6)收回权力。
结论:这项研究反映了低社会经济地位母亲在怀孕期间的独特挣扎,分娩和产后早期以及新加坡孕产妇卫生系统内更广泛的健康不平等。提供急需的支持和改善的护理,政府内部的利益相关者,医疗保健提供者和社会组织应该考虑这个社区的利基需求。
结论:护士需要反思自己的偏见,并确保与社会经济地位无关的持续护理。在提供患者教育时,以病人为中心,以个人经验为基础的真诚建议可以帮助建立融洽的关系。
结论:这项研究首次探讨了新加坡背景下低社会经济地位母亲的经历。低社会经济地位的母亲对健康的自主权较低,他们得到的照顾和他们的育儿选择。随着母亲们适应新的角色,他们努力应付。然而,因为他们对围绕贫困的污名和他们没有成为“好母亲”的罪恶感保持警惕,他们更愿意寻求家人的非正式支持,通过社交媒体学习的朋友和自助,与正式相比,外部帮助。
COREQ核对表。
没有患者或公众捐款。
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